CGHScholarReport

CGH Scholar Report

First Name*

Last Name*

Cell Phone

Your Primary Email Address*

Host Country*

Descriptive Project Title*

Dates abroad: From/To*

UVA Faculty Mentors

First Name*

Last Name*

Department or School*

Email Address

First Name*

Last Name*

Department or School*

Email Address

International/On-site Mentor

First Name*

Last Name*

Title*

Host Organization/Institution*

Email Address

Assessment

Please include a brief (250 word) abstract of your experience. This will be considered a submission for the upcoming CGH Global Health Symposium.*

Would you describe the experience as

What fields of study were emphasized during your work? e.g. medicine, anthropology, political science, engineering, etc.

To whom would you recommend this international experience?

Describe what your daily schedule was like?

What kind of opportunities might be available to other students at this site?

Please comment on the outstanding features of this international experience.

Planning Information

If you would be willing to be a mentor to future students, please provide your permanent email address and phone number.

How did you fund your project?

How was housing arranged? Meals provided?

How did you first contact this program? (UVA Faculty, Alumni?)

Were there any special preparations that you needed to arrange? (e.g. local government, local IRB, travel or safety precautions?)

What language and level of familiarity was necessary?

Was language immersion a part of the experience?

Yes No

Additional Comments

University of Virginia Health System